DRUGS! Flashcards
What decreases HR, BP and contractility. Binds to Beta 1 receptors of the heart and block SYMPATHETIC innervation.
Beta Blockers
What are 3 main side effects of Beta Blokcers?
- Bradycardia
- Fatigue
- Diabetics on BB, BB mask hypoglycemia episodes. Also can’t properly mointory HR and need to assess with BORG. Become cold and clammy
Myocardial Injury is potentially reversible for the first 30 minutes after onset, in which this drug is typically adminsitered. Given mostly for acute conditions such as MI/DVT/PE/Ischemic Stroke.
Thromblytics/Anticoagulants (TPA), Heparin, warfarin, coumadin
What is the major side effect for thrombs and anticoagulants and what should the PT assess?
Increased risk of bleeding/Hemmorahge
Need to assess patients risk for falls if on thrombos. Note that for anti-coagulants coumadin patient is at risk for brain bleeds! now replacing with oral meds.
Patient placed on this drug usually has HTN or CHF. Results in Vasodilation.Slows progression of left ventricular dysfuncton
ACE INHIBITORS
What are list 2 main side effects of ACE Inhibitors?
- OH/Dizziness
2. Dry Cough (why they are trying to switch to ARBs because ARBs don’t have the dry cough SE)
Name 3 SE of Nitrates (vasodilator)?
- can’t take with Viagra
- Very painful headaches and dizziness
- OH, Falls risk and fainting
This drug typically causes myopathies. physical therapists need to watch for muscle pain and cramping at night/overnight and make sure the patient stays hydrated. Legs may also hurt at rest. Which drug causes most o these SE?
Lipid lowering Drugs
Indications for Lipid lowering drugs like statins
to reduce blood lipids, statins usually lower LDLs, but don’t increase HDLs.
This drug is usually treats HF and Tachyarrthymias. Works at the AV node. Increases myocardial contraction and is therefore categorized as a positive inototrope which can increase cardiac output. name the drug.
Cardiac glycosides (digitalis)
What happens if a patient has kidney dysfunction and they are on cardiac glycosides such as digitalis. What should the PT be aware of?
If kidney’s aren’t working properly the drug will build up in the blood and become toxic to the patient. Need to look at sings of toxicity, arrhythmias, feeling sick and fatgiued.
What drug is used to manage HTN, Angina, Vasospasm and decreases SUPRAVENTRICULAR ARRYTHMIAS
Ca channel blockers
Name the main side effect of Ca channel blockers?
ca channel blockers cause vasodilation and therefore patient should be aware of OH (normal postural changes BP will drop because blood is rushed towards the feet when patient WBs)
This drug decreases fluid volume in the body/blood. Increases secretion of H2O and electrolytes. Managment for HF, HTN and Edema.
Diuretics.
What are the main SE for diuretics?
Dehydration
Decreased BV
Decreaseed BP, in which patient can beocme dizzy, weak and lethargic